S2 physicalexam - GrepMed

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Split S2 - Cardiac Auscultation (Audio)

#SplitS2 #Split #S2 #Murmur #Audio #clinical #cardiology #auscultation #physicalexam

Split S2 - Cardiac ... SplitS2 #Split #S2 ... #auscultation #physicalexam

Auscultation of Split S2 - Differential Diagnosis
• Normal or physiologic
• Wide, fixed splitting -Atrial

Auscultation of Split S2 ... cardiomyopathy #Split #S2 ... #Auscultation #physicalexam

Cardiac Auscultation Practice - Normal Heart sound
Tap a simple One-Two tap with the first and second

just made S1 & S2 ... Auscultation #Practice #PhysicalExam

Jugular Waveform Components
• a wave - due to atrial contraction: It occurs just before

until after the S2 ... Waveforms #JVP #PhysicalExam

Kussmaul's sign in Constrictive Pericarditis

A 50-year-old woman with a remote history of mediastinal lymphoma (age

heart sound after S2 ... Kussmauls #Sign #PhysicalExam

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

persistently split S2 ... PHTN #JVP #Neck #PhysicalExam

Aortic Stenosis - Diagnosis and Stages

Clinical Presentation
- Exertional dyspnea
- Chest pain
- Palpitations
- HF Symptoms (orthopnea, PND,

or diminished S2

Pulmonary Embolism - Signs and Symptoms
Most Common Presenting SYMPTOMS
- Dyspnea at rest or with

pulmonic component of S2

Pudendal Neuralgia
• Pudendal nerve arises from S2-S4 roots and innervates perineal structures
• Nerve is prone to

nerve arises from S2

CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C Congestive Heart Failure 1

H Hypertension 1

A2 Age >75 2

D Diabetes Mellitus 1

S2 Stroke,

Diabetes Mellitus 1 S2

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